oneshare classic programs - administration123.com...the organization facilitating the sharing of...

© 2019 OneShare Health, LLC. V.053119 This is not insurance.This program is ACA exempt. See www.onesharehealth.com for full disclosures of Programs.

OneShare ClassicPrograms

Health Care Sharing Programs for Individuals & Family

www.OneShareHealth.com833.546.4478

OneShare Health ClassicPrograms

http://www.onesharehealth.com/



Why Choose OneShare Health

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Your health is our mission! OneShare is committed to providing you the most comprehensive,

affordable, flexible program to best fit your needs.

Preventive100%

Telemedicine$0 Consult

Primary Care1

$20Hospitalization

Urgent Care1

$20

Multiplan PHCS Network OneShare provides you access to one of the largest PPO Networks in the nationwith over 1 million providers.

Healthcare Sharing Eligibility Your sharing includes services such as primary care, specialists, urgent care,hospitals and more!

Telemedicine Talk to a doctor 24/7 for your acute care needs and even get a prescription ifmedically appropriate.

Membership Discount Services2

Prescription Discount Services

You have access to over 60,000 pharmacies. Show them your card andreceive 15% to 80% savings on generic drugs and 15% - 25% on brand namedrugs.

VisionDiscount Services

Members save 20% - 40% off the retail price of eyewear with the EyeMedVision Care Access Plan D discount program. Discounts on exams, eyewear,and contact lenses from more than 90,000 providers nationwide.

DentalDiscount Services

Save 20% – 60% on most dental procedures including routine oral exams,unlimited cleanings, and major work such as root canals, crowns anddentures. 20% savings on orthodontics and more!

Diabetic Discount Supplies 20% – 30% off retail price. Disposable Medical Supplies – 20% to 40% offretail price and more!

1One or two visits limit based on Program selection. 2THE CAREINGTON DISCOUNT PLAN IS NOT INSURANCE and is not intended toreplace health insurance. This plan does not meet the minimum creditable coverage requirements under M.G.L. d.111M and 956CMR 5.00. This plan is not a Qualified Health Plan under the Affordable Care Act. This is not a Medicare prescription drug plan.



SHARING SERVICES BASIC ENHANCED CROWNPreventive Services $0 Visit Fee $0 Visit Fee $0 Visit FeePrimary Care Physician, Pediatric, OB/GYN1

1 Per Program Year $20 Visit Fee



Urgent Care Facility 1 Per Program Year - $20 1 Per Program Year - $20 2 Per Program Year - $20

X-rays / Labs / Diagnostic Preventive Only PCP/Urgent Care PCP/Urgent Care

Specialists2 Not Eligible Not Eligible $75 Visit FeeReferral required

Telemedicine $0 Consult Fee $0 Consult Fee $0 Consult FeePrescription Discount Program EnvisionRX EnvisionRX EnvisionRXEmergency Room $500 Visit Fee $500 Visit Fee $300 Visit FeeMaternity3 Not Eligible Not Eligible $5,000 Maximum Sharing

In/Out Patient Surgery Life threatening emergency immediately available.

Eligible6 month waiting period



Hospitalization Eligible Eligible EligibleMaximum Limit Per Incident4 $150,000 $250,000 $500,000Lifetime Sharing Maximum $1,000,000 $1,000,000 $1,000,000

End of Life SharingPrimary Member $6,000 | Spouse $4,000 | Dependent $2,000

Primary Member/dependents must be enrolled in the program for 12 continuous months | Death certificate required

OneShare Classic Programs

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1OB/GYN for PCP visits only. 2$75 until ISA is met, then 100% sharing. 3Natural delivery $5,000; C-Section $8,000; Complications$50,000. 4Optional $500,000 Maximum Per Incident, additional Monthly Contribution Amount applies. Member, $130 mo. Member +1,$230 mo. and Family, $330 mo. See Program Disclosures for full details, limitations and applicable ISA for all Sharing Services.

Age Basic Enhanced Crown$5,000 Individual Sharing Amount per program year

Age Bands Member Member +1 Family Member Member +1 Family Member Member +1 Family18-29 $184.94 $312.93 $402.52 $229.74 $332.13 $460.11 $261.73 $364.12 $504.9130-39 $227.62 $385.14 $495.40 $282.75 $408.76 $566.28 $322.13 $448.14 $621.4240-49 $256.07 $433.28 $557.33 $318.09 $459.86 $637.07 $362.39 $504.16 $699.0950-59 $284.52 $481.42 $619.25 $353.44 $510.96 $707.86 $402.66 $560.18 $776.7760-64 $341.42 $577.70 $743.10 $424.12 $613.15 $849.43 $483.19 $672.22 $932.12

$7,500 Individual Sharing Amount per program year18-29 $165.75 $287.33 $383.32 $210.54 $312.93 $421.72 $229.74 $338.52 $472.9130-39 $203.72 $353.63 $471.77 $259.12 $385.14 $519.03 $282.75 $416.64 $582.0440-49 $229.49 $397.84 $530.74 $291.51 $433.28 $583.91 $318.09 $468.72 $654.7950-59 $254.99 $442.04 $589.72 $323.90 $481.42 $648.79 $353.44 $520.80 $727.5560-64 $305.98 $530.45 $707.66 $388.68 $577.70 $778.54 $424.12 $624.96 $873.05

$10,000 Individual Sharing Amount per program year18-29 $140.15 $255.33 $351.32 $172.14 $287.33 $376.92 $204.14 $353.20 $415.3230-39 $172.48 $314.25 $432.39 $211.86 $353.63 $463.90 $251.24 $385.14 $511.1540-49 $194.04 $353.53 $486.44 $238.35 $397.84 $521.88 $282.65 $433.28 $575.0550-59 $215.61 $392.82 $540.49 $264.83 $442.04 $579.87 $314.06 $481.42 $638.9460-64 $258.73 $471.38 $648.59 $317.80 $530.45 $695.84 $376.87 $577.70 $766.73

Monthly Contribution Amount

Families of 6 or more, additional contribution amount of $45 per dependent.



100% Preventive

Services

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ADULTS• Blood Pressure Screening• Cholesterol Screening• Colorectal Cancer Stool Test• Depression Screening

• Type II Diabetes Screening• Diet Counseling• HIV Screening

CHILDREN• Alcohol and Drug Use Assessment• Autism Screening• Behavioral Assessment• Blood Pressure Screening• Cervical Dysplasia Screening• Congenital Hypothyroidism Screening• Depression Screening• Dyslipidemia Screening• Height, Weight, and BMI Measurement

• Hematocrit/Hemoglobin Screening• Hemoglobinopathies/Sickle Cell Screening• HIV Screening• Lead Screening• Obesity Screening/Counseling• Phenylketonuria Screening• STI Counseling/Screening• Tuberculin Testing

IMMUNIZATIONS AND INJECTIONS • DtaP• Haemophilus• Hepatitis A, B• Herpes Zoster• Human Papillomavirus• Inactivated Poliovirus• Influenza

• Influenza Type B• Measles, Mumps, Rubella• Meningococcal• Pneumococcal• Rotavirus• Tetanus• Varicella

WOMEN• Anemia Screening• Bacteriuria & Urinary Tract Infection

Screening• BRCA Counseling• Breast Cancer Screening• Breast Cancer Chemoprevention

Counseling• Cervical Cancer Screening• Chlamydia Infection Screening• Contraception Counseling

• Domestic Violence • Counseling/Screening• Gestational Diabetes Screening• Gonorrhea Screening• HPV Testing, every 3 years• Tobacco Screening/Counseling• STI Counseling • Syphilis Screening


© 2019 OneShare Health, LLC. V.053119 This is not insurance.This program is ACA exempt. See www.onesharehealth.com for full disclosures of Programs. 5

General Notice for the following states: Alabama Code Title 22-6A-2, Arizona Statute 20-122, Arkansas Code 23-60-104.2,Florida Statute 624.1265, Georgia Statute 33-1-20, Idaho Statute 41-121, Louisiana Revised Statute Title 22-318,319, MaineRevised Statute Title 24-A, §704, sub-§3, Michigan Legislature §550.1867, Mississippi Code Title 83-77-1, Nebraska RevisedStatute Chapter 44-311, New Hampshire §126-V:1, North Carolina Statute 58-49-12, South Dakota Statute Title 58-1-3.3,Texas Code Title 8, K, 1681.001, Virginia Code 38.2-6300-6301, and Wyoming Statutes Title 26.1.104(a)(v)(C):

Notice: The organization facilitating the sharing of medical expenses is not an insurance company, and its product shouldnever be considered insurance, and neither its guidelines nor plan of operation is an insurance policy. If you join thisorganization instead of purchasing health insurance, you will be considered uninsured. Whether anyone chooses to assistyou with your medical bills will be totally voluntary because no other participant will be compelled by law to contributetoward your medical bills. As such, participation in the organization or a subscription to any of its documents should never beconsidered to be insurance. Regardless of whether you receive any payment for medical expenses or whether thisorganization continues to operate, you are always personally responsible for the payment of your own medical bills. Thisorganization is not regulated by the State’s Department of Insurance, though complaints concerning this Health Care SharingMinistry may be reported to the office of the State Attorney General. You should review this organization’s guidelinescarefully to be sure you understand any limitations that may affect your personal medical and financial needs.

Specific Notice for the following States: Indiana Code 27-1-2.1, Illinois Statute 215-5/4-Class 1-b, Missouri Statute §376.1750and Wisconsin Statute 600.01(1)(b)(9):

Notice: The organization facilitating the sharing of medical expenses is not an insurance company, and neither its guidelinesnor its plan of operation is an insurance policy. Any assistance you receive with your medical bills will be totally voluntary.Neither the organization nor any other participant can be compelled by law to contribute toward your medical bills. As such,participation in the organization or a subscription to any of its documents should never be considered to be insurance.Whether or not you receive any payments for medical expenses and whether or not this organization continues to operate,you are always personally responsible for the payment of your own medical bills.

Kentucky Revised Statute 304.1-120(7):NOTICE: UNDER KENTUCKY LAW, THE RELIGIOUS ORGANIZATION FACILITATING THE SHARING OF MEDICAL EXPENSES ISNOT AN INSURANCE COMPANY, AND ITS GUIDELINES, PLAN OF OPERATION, OR ANY OTHER DOCUMENT OF THERELIGIOUS ORGANIZATION DO NOT CONSTITUTE OR CREATE AN INSURANCE POLICY. PARTICIPATION IN THE RELIGIOUSORGANIZATION OR A SUBSCRIPTION TO ANY OF ITS DOCUMENTS SHALL NOT BE CONSIDERED INSURANCE. ANYASSISTANCE YOU RECEIVE WITH YOUR MEDICAL BILLS WILL BE TOTALLY VOLUNTARY. NEITHER THE ORGANIZATION ORANY PARTICIPANT SHALL BE COMPELLED BY LAW TO CONTRIBUTE TOWARD YOUR MEDICAL BILLS. WHETHER OR NOTYOU RECEIVE ANY PAYMENTS FOR MEDICAL EXPENSES, AND WHETHER OR NOT THIS ORGANIZATION CONTINUES TOOPERATE, YOU SHALL BE PERSONALLY RESPONSIBLE FOR THE PAYMENT OF YOUR MEDICAL BILLS.

Maryland Article 48, §1-202(4):Notice: This publication is not issued by an insurance company nor is it offered through an insurance company. It does notguarantee or promise that your medical bills will be published or assigned to others for payment. No other subscriber willbe compelled to contribute toward the cost of your medical bills. Therefore, this publication should never be considered asubstitute for an insurance policy. This activity is not regulated by the State Insurance Administration, and your liabilitiesare not covered by the Life and Health Guaranty Fund. Whether or not you receive any payments for medical expenses andwhether or not this entity continues to operate, you are always liable for any unpaid bills.

Pennsylvania 40 Penn. Statute §23(b):NOTICE: This publication is not an insurance company nor is it offered through an insurance company. This publication doesnot guarantee or promise that your medical bills will be published or assigned to others for payment. Whether anyonechooses to pay your medical bills will be totally voluntary. As such, this publication should never be considered a substitutefor insurance. Whether you receive any payments for medical expenses and whether or not this publication continues tooperate, you are always liable for any unpaid bills.



Made with in Texas

© 2019 OneShare Health, LLCOneShare Health Classic Program v.053119

Statement of BeliefsWe believe in the sanctity and dignity of every human life, andthat God created every life for a special meaning and purpose.

We believe that every individual has the constitutional andreligious right to worship God in freedom.

We believe and agree in the biblical and ethical principle ofsharing with those who are less fortunate and who experiencemedical needs.

We believe and agree that it is our responsibility to God and ourfellow members to engage in healthy living, and to avoid habitsand behaviors which are harmful to the body.

Carry each other's burdens, and in this way you will fulfill thelaw of Christ. Galatians 6:2


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